Michelle Missy Porteous, MS, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

814382 Issued in CA

Practice address

11801 Pierce St
Suite 200
Riverside, CA 92505-4408

Phone

(951) 317-7657

Fax

(951) 278-8665

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1003967712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 CONESTOGA CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818616",
            "telephone_number": "951-317-7657",
            "fax_number": "951-278-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 PIERCE ST",
            "address_2": "SUITE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925054408",
            "telephone_number": "951-317-7657",
            "fax_number": "951-278-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTEOUS",
        "first_name": "MICHELLE",
        "middle_name": "MISSY",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "814382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00962989",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Porche
• Kevinn F Porras
• Barbara Porraz
• Ellie Krystal Porsona
• Danielle Portales, RN
• Carolyn Louise Porter-Rose, R.N.
• Brian Porter
• Britt P Porter, PA
• Carrie Elizabeth Porter, PT
• Jacob Porter

• Registered Dietitian in Riverside, CA
• Providers in Riverside, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.